12361 SW KNOLL DRIVE t � AL`y r.. ;�.. �,xNv.��wN44e A5..t✓:.f .. _ ;
ADDRESS:
s;
Y
i
i:\records\microfIml,targets\buiIding.doc
C17Y CSF TIGARD
GOMMUN"TY 0EVELOPMRNT DEPARTMENT
tutee r<W HaW iNd.TIpeM,OreNn !7►tl0•�/M Illpf)NM1T1
CERTIFICATE OF
OCCUPANCY
x x x x PERMIT #k. . . . . . . : MST92--026x:,
1'139-41 7 1
DATE: ISSUED: 05/28/93
G I TFC ADDRESS. . . 12361 SW KNOLL OR PARCEIY a
SUEIDI )ISION. . . . : ZONINGS 1
BLOCK. . . . . . . . . . : L.OT. . . . . . . . . . . . . e
CLASS OF WORD<. :NEW
TYPE OF USE:. . . eSF �
OCCUPANCY ORP. :R3
OCCUPANCY LOADe118 4
I'E:NANT NAME. . . :
r
ftt?A1-..r'kC PATH I NEED STREET OPENING PERMIT FRUA ENGINEERING
.............................
_._.._...,.... ...._.
`OUR ►J CONSTRUCTION
1':) O BOX I.057;
BEAVERTON OR 97075
I t^eh�U r? 1►a
6,41 -0935
i
�� I4 B PLUMBING
SEs 51ST
1111_I_E.iOGRO OR 971r.,3
Phunv M: 503--640-5771?:
Reg #i. . a 19907
f
I Occupancy of the above referenced building is hereby given, and uer^tifiey
the compliance with the `:3tAte Of nr^ey,,tj sper-I&Ity Coders for the group,
,iccupancy, ae,d use Under' which the refer-meed permit was iseued.
FIRE. UC�'Af2i '`fl h1T UIL..D I I 3FE:CT0R
_UILD
OFFICIAL.
IN CONSP I CUOI.PS PLACE
i
1
1
I
i
4
d
r t
nig wa;
r ��¢�ON WOTICB
City of Tigard Building Departaent ��
Li 125 aw Ball Blvd. Tigard, Oregon `17223
Inspection Line (Roc-v-Phones 639-4175 Business Phone: 639-4171
inspections-----------
rooting
nspection: --looting Plbg. Underslab Koch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sower Framirg Bldg.
r.
Yost/Beam !Mach• Rain Drain insulation A-A -Ply_
Plbg. Underfloor Nater Line GYP Bd. ✓✓ _ _ h'
Date Asqueateds�.' TLoo: AN PM
Permit
�. Addreo s �
( Builder:
Tm lOLLONING CORRECTL7148 ARE REQUIRED:
i
e"y SF /C::,, q AES
r. P ,rrrxcolt s:e A/rte et16� _ 67Q7
ro
a/s F 7 ov
Inspector:.--- -- D.►te+ _i"__, �'
vPROVRD DISAPPROVED i v APPPWRD SUBJECT TO ABOVE
Ca]-1 For Reinsp.
hAli
i
INBPECTIOK NOTICE
City of Tigard Building Department
13125 BW Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones b39-4171
Inspections _ I
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Lino FINALS
Post/'Beam Struct. San. Sewer Framing ( --Bldg.
Post/Beam Mach. Rain Drain Insulation /( `_Plumb,
Plbg. Underfloor Hater Lina Gyp. Bd. (,,-Meeh.)
Date Roquseteds -..2lowr Times
/—
Address e � Permit
Builder.: L _
TAE FOLLOWING CORRECTIONS ARE REQUIRED:
w ; �1
kl I
y
Yh
Inspector. _
Dates p /�
APPRUVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart wwt-
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Linty (Roe-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
looting Plbg. Urdorslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Can Line FINAL:
Post/eeam stru.:t. San. Hewer Framing �-Bldg.
k'ost/Beam Hoch. Rain Drain Insulation -tl:usb.
:lbg. Underfloor Mater Line Gyp. Bd. -Hoch.��
�JDate keguwatedt_- / � �Tise:
Address: �!' �s� Permit iC„�, '✓
Builder:. Z_/ -�--- Y
THE FOLLOWING ONS J REQ IRED: �
r
Inape�tox:__- � _ Date: 5\ �' / 3
_—, -APPROVED o�-- DISAPPROVRD APPROVED SUBJECT To ABOVE
Call For Re.insp.
m
11 In
4 I
INSPECTION NOTICE
City of Tigard Building Department
13125 SSI Ball elvi. Tigard, Oregon 977.23
Inspection Line (Rec-o-Phone): 639--4175 Buoinens Phone: 639-417.1
Inspect ion:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk '
Ff".ud. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. Sewer Framin3 -Bldg.
Post/Beam Mach. Rain Drain Insul+tiun
Plbg. Underfloor 2 Watnr. Line Gyp. Bd. -Meeh. .
Date Requested: Time: /_AM i�PM
Addrens: Permit t: ` .Z
Builder:
THE FOLLOWING CORRECPIONS ARE REQUIRED:
oev
r
lnspectorc-
`APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
_-_Cal.1 For Reinnp.
r .�J
r��
INSPECTION NOTICE
City of Tigard Building Dep
ar+ �t
13125 SM Ball Blvd. Tigard, O,-egos 97223
Inspection Line (Rea-O.-Phone): 639-4175 Business Pho : 639-4171
Inspection
Footing Plbo. Underelab Mech. Rough-in APnr/Sdwik
Found. Plbg. Ttp Out Gan %ine FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation ;Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_._> f� �/ Time: _AM ___PX
Address: 2
/� 7 Permit 4: `
Builder.:_ L �� --- _ --
THE FOLLOWING CORRECT1IONS ARE REQUIRED:
I
e.
i
I
Tnapector;_ _ Date:_
T
__APPROVED DISAPPROVED —_ _ APPROVED SUBJECT :'7 ABOVE
V—Call For Rainap.
i
i
1 _�J
Asia■
,Er a
Y,
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 197223
Inspection Line (Rec-O-Phone): 619-4175 Bucinean Phone: 639-4171
Inspection•.—
Fo,-ting Plbg. Underslab Mech. Rough-in Af;or/Sdwlk
F
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sower Framing -Bldg.
1
Poet/,sam Mech. Rain Drain Insulation -Plumb.'
?'
Plbg. Underfloor water Line Gyp. Bd. -Mech. �
Date Requested: - _ Time: AM PM
�Address: / Permit f
•
Builders_ —- -—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
M,
Inspector: —____--.-- -
__.__.-_— _ Date:__L_
--_APPROVED _^ DISAPP OVER _ APPROVED SUBJECT TO ABOVE ?'
---Call For Reinnp.
iy
1 .
aw INSPECTION NOTICE
City of Tigard Building Departaent
13125 Sit Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Poon 39-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Apdr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Ma^h. Rain Drain Insulation -Plumb.
Plbg. Undarflocr Water Line Gyp. Bd. -Mech.
Date Requested: 1- 2- Times AM _K PM
i
Address: l �- �4 I�,_,V\d11 `:Ii : Permit is I"``> -'I2
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
__6?,q0)61f- TQ CO rh/f /moi�� j
Inspector:
-•— --� Data s
L
APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
y
a;
1 "
INSPECTION NOTICE
City of Tigard Building Uepartn nt
13126 SW Ball Blvd. Tigard, Oregon 9%223 �1
Inspection Lire (Rec-O-Phone): 639-4175 Business PhonA9-4171
Inspection: —
r
� F > Footing Plbg. Undernlab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Oit Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing —Bldg. _
Post/Beam Moch. Rain Drain Insulation , -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
r
Date Requested:— Times AM — PM
Address: P,rmit
Builder: - ---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ivo / i :i(�/rte! �` �✓ f` �� (�' Ci�°(�
i
"
Inspector - -r _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rein.p.
v.q..a,wis+uihe:r.J.i6. `GW.C<'4.6 .Ra-a"*.dN'G�K+anPAh4imi: , •. ...- ,.
-
r
9'•
i
qw
- INSPECTION NOTICE
City of Tigard Building Department
13125 qw BAIL Blvd. Tigard, Oregon 97223 `
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — ---._
1
Footing Plbg. Underslab Mech. Rough--in Agpr/Sdwlk
' _ L
Found. -Pi'bq. Top Out Gas .xne FINAL:
r Poet/Beam Struct. an. ower Framing -Bldg.
J,
Post/Beam Mach. Rain Drain Insulation --Plumb.
A..
Plbg. Underfloor Water Line Gyp. Bd. -Mech. .
Date Requested: /r�� / Time= / AM _ PM
Address lv Permit
y,
Builde>_:
THE FOLLOWING Ca ECTIONS ARE REQUIRED:
'Go _
dov
i
Inspector: - _ Date: F
1
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
-__-Call For Reinsp.
warwfwnA,uaroewn
rai�tn::xaCsS'� a�rwtai .rmxuhna�tae+c
i
,
y .
J,
INSPECTT_ON NOTICE
City of Tigard Euilding Department
13125 SW Dall. Blvd. Tigard, Oregon 97223
Inspection Line (Rec--0-Phone): 639-4175 Business ?hone: 9-4171
Inspections -- -- -
Footing Plbg. Underslab (��ch. Rough-t-u Ay;r/Sdv1k
nd- Plbg. Top Out Gas Line FINAL:
,at/Beam Struct. San. Sewer �.Pram1 -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -.Mach.
Date Requested:_1 '-3 TimeL��AM _PM
Address: — `L _ Permit f: (G1
Builder:—���--- _
THE FOLLOWING CORREC'[ONS ARE REQUIRED:
I
i
I
I
1
i
I
Inspector
—APPRO ED —� DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
.w.rnrow.m.Y+�L�.'nsW.u: .:•II+YAfMR'"+4a'nli.+.S�fhA
$� S
w r•
_J
r
r
INSPECTION NOTICE n
City of Tigard Building DepartiMenit
13125 BW Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_,-_ — ---- — —— 1
Footing Plbg. Underslab Mech. Rough-in Pppr/Sdwlk
y
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. -
]? Datu Requesteds��/ �-` Times AM PM
4 lbAddreee:— Permit 1:
Builder:
i.
THE FOLLOWING CORRECTIONS ARr REQUIRE):
jj'; —�.--
f
i
i
i
i
I
r
1r
Inspector �' �— --------- -- Dates _ `y /
_\ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Relnnp.
ar�rr p?
r ,
t
r! r •n 1 r�fir'� 1�r�l�1� � �i u#,. r r�{�' w
' r� •°r rtiFr� r i a,�r�' .�,T ��,��c�_ IAM,� l +� q�ypt� A tr�.a
81 d Gr � •.t Ak;._s',� ;r:,� �+a tdJr'�,�I�1�� i �r i Il n� r �`�!�- t�rS '* } s i i, _
H
n
INSPECTION NOTICE
City of Tigard Building Departaent
13125 hV Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Hoch. C Rain Drain � Insulation -Plumb.
Plbg. Underfloora�i e ) Gyp. Bd. -Mech. .
Date Requested/' `zt ' ' _ Time: _ AM _�PM
Address:-- � _ ----��4ermit �: 7
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector:_.___ Date:
• APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
a '
,
a
f.
.. �,,,. .. . ...nn�iw+m...�.nlllrk.nh n nuM+na�.a •..:: .- ,,.
H 7 ,, wit..r•uk«nor«frnrw..e..w.,... .,.. -
r .,
INSPECTION NOTICE
city of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection•_ ---
/#
Footing / P1 Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rein Dr•:in Insulation --Plumb.
Plba. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ �= Ti,4.wh AM _PM •
j
Address:_ Permit fs
/ / - ■
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
i
,f
Inspector:__f _ Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
4 Call For Reinnp.
Af
3.
,
y' r A
d
o- �� �C r. '�" � i n�?M1 � �., e�'� IF AgVrpr #Yi << Y HTt'S°4 z°ir1
idFY' �M1Y i d i f ri''J i4i .: af
a,
Y`
I
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: :39-4171
Inspect-on: --
4,
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. r _ a, Plbg. Top Out Gas Line FINALS
9a
tI/
seam Struct,` San. Sewer Framing -Bldg.
_../
et/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Water /Line Gyp. Bd. -Mach.
Date Requested ��, k" - Tisse "- ^' AM PM
Address: '-J�T' a/�/��FC. Permit
Builder:
_ 1_. �_— ■
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
' M
I
i
I
I -
Inspector: Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Reinep.
is
l�
r
,. . r ,
1
S ' - vi. r.r;r.x/P::iYy x pih%7„c?�l"N.tfi"�kXtMt'�.frn r,.w,'e.«. r. cmn`..-r.:w.r�r�. ,..•..-:.,.o..nrer,�nm.,,.vw..._....,
INSPECTION NOTICE
City of Tigard Building DepartmOnt
13125 Bit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspection: —
Footing
Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. plbg. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation
Plumb.
-Koch.
�1+lbg. Underfloor - Water Line Gyp. Bd.
11 -l TimetyAM —PH
Date Requeetedt�Q//� I
Addreee: �7l „�"'� -- Permit 14 i
Builder.-_
17
THE FOLLOWING CTIONS ARE RSQUTAEDt
Inspector:_ _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
i
Call For Reinep.
p SPECTION NOTICE
City of Tigard Building Departm'ent ✓NZ//�(;f f
13125 BW Hall Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-•Phone): 639-4175 :e1 o e 39-4171
Inspect ion s ----
(Footing ' Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas idne FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Rech.
G) Time'i L! Ck 1 PM
Date Requested: /
Permit 1 s C g
Address:- ti
Builder:.__
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
Inspectors Date: �_��=
~� PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE.
t
Call For Reinsp.
t ,
_J
7 �
CITYOFTIFARD Cny
ily TWID
OOMMUNTY DEVELOPMENT DEPARTMENT ONooei MASTER PERM11
1312532►wiewd, P.o.e«x3W.TOW,Oregon 97223t5W)=4176 PERMIT #. . . . . . . : MST92-0266
639--4171 DATE ISSUED: 11/18/92
. c
SITE ADDRESS. . . : 12361 SW KNOLL. DR PARCEL: 2S1 O1 BC•-KNOL 1
SUBDIVISION. . . . : 11I1-F' 199 :-0007 ZONING:
!LOCK. . . . . . . . . . . . 1 '
LOT. . . . . . . . . . . . . �
BUILDING __.___.._____.___________-.______--.-.----- ' a
REISSUE: DWELLING UNIT'S: 1 BASEMENT.. . . . . . . . ..0 sf {
CLASS OF' WORK. :NEW RE:DRM,`.•i:3 BATHS:2 GARAGE. . . . . . . . . . :476 <.af
TYPE OF USE. . . :SF FLOOR AREAS--•-_--_--- REUU I RED SETBACKS--_--_-._--- .
TYPE OF CONST. :5N F I RST. . . . : 1231 s f LEFT. . -21 ft R I GHT. : 10 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 5f FRONT. :20 ft REAP. . : 16 ft
STORIES. . . . . . . : 1 *THIRD. . . . :0 s f RE(.,)U I
HEIGHT. . . . . . . . : 18 ft TOTAL-------: 1231 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f Vl SLUE. . . . . $ : 65 i 94 PARK ING SPACES. . : 1
Remarl(s: PATH I NEED STREET OPENING PERMIT FROM ENGINEERING
SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . -0 BACKFl_C1W PREVNTRS. . :0
LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :O
WATER CLOSET'S. . :2 SEWER LINE (ft ) . .0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE:. (ft) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISK=. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
----------------- MECHANICAL -__._.______......__.____.---_._..__.__.__.._._.__.__.______ FEES
f
FUEL T'YPES---------- IJIVII' HTRS. . :0 type amount by date r-ecpt
/GAS/ / / VENTS . . . . „ :0 TIF $ 1460. 00 JH 11/18/92 -
MAX IN UT:O b T U VENT FANS. . :;3 BPRT $ 331. 00 JH 11/18,'9' -
FURN < 1O0K . . : 1 HOODS. . . . . . : 1 Bf-''I._C $ 215. 15 JLH 1 1/05/92 233450
FURN ) --1021K . . :0 WOODST OVES. :0 BSPC $ 16. 55 JH 11/18/92 --
FLOOR FURN. , . . :0 CLU DRYERS. : 1. SSDC $ c�80. 00 JH 11/18/92 -
BOIL/CMVI ( HI=':0 OTHER UNITS: 1 PARK $ 500. 00 JH 11/18/92 - "r
GAS OUTLETS: - MPRT $ 40. 50 JH 11/18/92 -
Owner: _- -__.______.___,_______._____.____..._.__.__.Ihl=rl_.L; $ 10. 13 JH 11/18/92 -
FOUR D CONSTRUCTION M5P,C $ 2. 03 JH 11/1,1/92 -
1:1 0 BOX 1577 PFIRT $ 125. 00 JH 11/ 18/92
•- :
PSF,(:N $ 6. 25 JH 11/18/92
-
BEAVERTON OR 97075
Phone #: 641-0935
Contras-tor:
G A B PILUMBING
1592 SE 5151-
'r
HILLSBORO OR 971 :
Phone #: 503-640-57701
Rey #. . : 19907 ___.__._---._.______---_.---------_------- '
$ 2986. 61 TOI AL
This permit is issued subject to the regulations contained in the -- ---- REQUIRED INSEIECT IONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foUnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam StMcct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post/Seam Machan InsLclat ior) Insp
days of issuance, or if work is suspended for more than 180 days. Plm/Undslab Insp Gyp Taoard Insp
� PL..M/UndNrfloor Rain drain Insp
Permittee Si gnatv_n,e : _ 'MechanicWakl Insp Water Line Insp g Fllt.cmb To Ol.it A r/Sdwlk
} .T.ssi_ced By : P PP Insp
Fr,aminy Insp Mec-hanical Final
- Err 1 4 f e t” ►rs pr. et i am f `C\ J 7-S--
t
4
}
f
,-
CITY OF TIFA RD WYOF AD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT oRmeoN PE RM IT
13125SW►wietid.P.o.B=23 �.Ttp.�d•onyon�Isoole394176 PERMIT #1. . . . . . . : SWR92--0.x50
6;39-41/1 DATE ISSUED: 11/18/9,2 d
SITE ADDRESS. . . : 12361 SW KNOLL DR PARCEL: 2S101BC•-KNOL1
SUBDIVISION. . . . : MLP 1996:-000/ ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . I
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .-
CLASS
NITS. . . :CLASS OF ISO RK. . . :NEW DWELLING UN I TS. . : .1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf
Remarks : PATH I NEE.-'.D STREET OPE=NING PERMIT FROM ENGINEERING ■
Owner: -.___._______.______-___._._____._._._.____ ___.....__.-.___.___.___._.____.-- FEES
FOUR D CONSTRUCTION type amoLint by date recpt
P 0 PDX 1577 PRMT $ x'100. 00 JH 11/18/92
I NSF= t 35. 00 JH 11/18/92
-
BEAVERTON OR 97075
Phone #: 641•-0935
Coritractur:
CONTRACTOR NOT ON FILE:
Phone #: $ 2135. 00 TOTAL
Reg #b. .
REUUI RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the N ified Se+age Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the �•_� _,_ _ i __
side !ewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral.
Permittee Siynati.tr1p :
I s s i.t a d FK y :
CaII for inspection - 639--4175
,
C
CITY OF TI CARD I31LS SW"s"�'�. PLNCK/RECT #��- 7�,,Z
PO Box 23397 PERMIT S' �� C�
COMMUNITY DWELOPMENT DEPARTMENT Tigard.Orcgoo97223
(503)639-4171 DATE ISSUED
•
JOB ADDRESS: .�o /C,I v ll Dr. _ TAX MAP/LOT 951 UI t3C -R,�,a1
SUB: kNo L.L. 6 .E s / LOT: - PACE L 1 LAND USE:
VALUATION: _ (05 q !k
OWNER SPECIAL NOTES
NAME: REISS=UE OF: __ I
ADDRESS: LAST REI:,SUE:
FLOOD PLAIN/
PHONE: SENSITIVE LANG:
CJNTRACTOR APPROVALS REQUIRED
NAME: FbuK r1.� Cc-) -i-F-u,c- I o N PLANNING:
ADDRESS: 'H 0 ENGINEERING:
L- E Fl--k o a-j C�1� ; ) U7 5 _ FIRE DEPT:
PHONE: _ '� O �I L DTI' n
CONTR. BOARD #: _7103 7 EXP DATE: 1 - y 3
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _G ,rte, 9 �'Lu to 1 N�� LIST/SUBCONTRACTORS:
MEECH: fF� PAT I Ny BUS TAX: _
CH ENGINEER CALCULATIONS:
NAME: _L � - TTS TRUSS DETAILS:
ADDRESS: K3, W , 1 `, r 1 l OTHER:
PHONE: QZ 0 Z_
PROPOSED BLDG. USE: vnJ)C� L E �� r/11�_�,� ��E , ,-(� nlC (_
COMMENTS:
APPLICANT?MATURE i
Received By: _ Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
9z-P,2GG 10-432 00 Building Permit Fees uv — uu
10-431 00 Plumbing Permit Fees .00 Lza. u 0
_ 10-431 01 Mechanical Permit Fees �V 4o,5 U
10-230 01 State Building Tax (5%) _Z4.9 Z4.92-
Building
Plumbing
Mechanical z•y 3
■
10-433 00 Plans Check Fee ZZ.S,�,� ZSy �' Zf_9_7L
Building
Plumbing
i
Mechanical ry. r3
10-230 06 Fire —
' •p p 30-202 00 Sewer Connection -
30-444 00 Sewer Inspection 3S =
25-448-02 Commercial TIF Fees
I
�N 25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees — --—
25-448-01 Residential %raffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
24-445-01 Water Quality (F`'zi in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL
I
nnV3587P.WPF
i
A
1 �J
10
low
PLUMBING PERMIT
PERMIT #.. . . .. . s MST92-0266
DATE ISSUED: 11/18/92
SITE ADDRESS. . .t 12361 SW KNOLL DR PARCEL: 2S101BC-KNOL1
SUBDIVISION. . . . : MLP 1992-0007 ZONING:
BLOCK. . . . ... . .. s LOT. . .. . . . .. . . . . :1
-------------------------------------------- ------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :1
TYPE OF USE. . . . :SF WASHING MACH.. . . . . . :1 BACKFLOW PREVNTRS. . :O
OCCUPANCY GRP. .sR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . .. . . . . . . .. :0
STORIES. ... . .. . :1 WATER HEATERS. . . . . .:1 CATCH BASINS. . . . . . . :0
FIXTURES------------- LAUNDRY TRAYS. . .. . . :0 SF RAIN DRAINS. . . . . :1
SINKS.. . . . ... . . :1 GREASE TRAPS. . . . . . . :0
jAVATORIES. ... .:3 OTHER FIXTURES. . . . .:0
TUB/SHOVERS. . . . : SEWER LINE (ft) . . . .:0
WATER CI,OSETS. . s2 WATER LINE (ft) . . . . :100
)ISHWAS!IERS.. . . sl RAIN DRAIN (ft) . . . . :0
Remarks: PATH I NEED STREET OPENING PERMIT FROM ENGINEERING
OWNER: ----------------------------- -----------------FEES---------------
FOUR D CONSTRUCTION TIF $ 1460.00 JH 11/18/92 -
P 0 BOX 1577 BPRT $ 331.00 JH 11/18/92 -
BPLC $ 215.15 JLH 11/05/92 233450
FiUAVERTON OR 91075 B5PC $ 16.55 JH 11/18/92 -
Phone #: 641-0935 SSDC $ 280.00 JH 11/18/92 -
PARK $ 500.00 JH 11/18/92 -
Plumbing Contractor:---------------- MPRT $ 40.50 JH 11/18/92 -
1 MPLC $ 10.7.3 JH 11/18/92 -
Name: C-,- 3 P&.Ivxb M5PC $ 2.03 JH 11/18/92 -
Address: PPRT $ 125.00 JH 11/18/92 -
City: States _ P5PC $ 6.25 JH 11/18/92 -
Zips Phone#:
Reg #:
------ REQUIRED INSPECTIONS -------
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp n
Code, State of Ore. Specialty Codes and all Poet/Beam Struct Water Line Insp
other applicable laws. All work will be done Poet/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plane. This Plm/undslab Inep Mechanical Final {
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Inep _
Gas Line Insp
Insulation Inep
X Gyp Board Insp
Authorized P1 sbing Contractor Si nature
Call for inspection - 639-4175
Contractor Notes:
i1
CITY TY OF' T I GARD - RECE:I f'T OF PAYMFNT RECEIPT NO. a 9 :--�, 33829 �
CHECK F iriu'UN7' a 4871. 61
idAMF: z F OUR D CONSTRUCTION CASH AMOUNT
ADDRESS a PAYMENT DATE a 11 i tea/9 '
SUBDIVISION z
,I
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID M'
F3IJILI)IiuCI 4'ERM
331. 00 PLUMBING PERM 125. 00
MECHANICAL PE: 40. 50 ST. BUILD PER 1'4. A(b �
" PLAN CHECK FE: - 24. 72 SEWER USA 1.���. LA(b
,3Ft'ER INSPECT 35. 00 PARKS; SDC S0iZ1. 00
STURM DRAIN SI)C i2se. 00 FRES I DENT I AL., TRAFFIC FEES 1350. 00 �
MASS TRANSIT TIF FETES 110. 00
a
PARCEL. 1. KNOLL_ ACRE'S
12361 SW KNOLL. DR
TOTAU AMOUNT PAID 4871. 61
I
C.I TY OF "T I uw) - RECEIPT OF PAYMENT RECEIPT NO. 02-233450
CHECK AMOUNT a 250.00
NAME:. a FOUR A CONSTRUCTION ION CASH AMOUNT z 0.00
ADDRESS a PO BOX 1577 PAYMENT UATF a 11/05/9::
SUBDIVISION a
REAVERTON, OR 970-75—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE: OF PAYMENT AMOUNT PAID
t
PLAN CHECK FE' 250.0k?�
PLAND CHECK 11-7R, LOT 9 PARCEL 1, KNOLL ACRE'S
TOTAL AMOUNT PAID — 00
y
APPLICATION - STREET IMPROVEMENT/EXCAVATION COPY TO.
(WHITE)-FILE
ORDINANCE NO. 74-14 (YELLOW)-INSP.
-OTHER(INSTRUCTIONS ON SEPARATE SHEET) (BL E))APPL CANTNCY b
-73
APPROVED [ APPLICATION IVO.: _S
NOT APPROVED ❑ CI i l O IIGARD, OREGON FEE AMT.: : 40.00 0
PENDING FEE. PMT. ❑ CITY MALI- RECEIPT 417--Z- S�
PENDING SECURITY O PUBLIC WORKS DEPARTMENT er _ DATE_ I L
PENDING AGENCY "OK'' ❑ Application and Progress Record
MAINTENANCE BOND
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT/EXCAVATION AS REQ(11RED
ANNUAL
PENDING VARIANCE EXPIRATION DATE:
r...
1 ;�, -
PERMIT NO.: -----"-'"-�'-�---- - DATE ISSUED: , , . _L_�_-__' ''.. BY:
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL A BUILDINd ShN.�SERVICE__
LATERAL & MAINLINE TAP _ AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
�.�._ r - —"--- -------_.....__-- ..
FOM D CONSTRTJC"lION PO BOX 1577 REAVEHTCNI, OR 9707`_i 641-0935
APPLICANT
NAME ADDRESS CITY PHONE
CONTRACTOR_ (SAME`.) — _----
NAME ADDRESS
PLANS BY._ - PER CITY S'T'ANDARDS & S4'ECIE ICAT10NS
NAME ADDRESS CITY PHON F.
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 1'�
DOLLARS
(2) EXCAVATION DATA: -- - FOR OFFIC u
0.04 X S � _J.0C.1 _ a 40.00'_____
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
"TAME SURFACE CUT I CUTCUT MATERIAL INSTALLED ITEM DATE REMARKS/TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
STREET
OPEI'IEDED
R. INSP C- I`
E TION
Q I
U I
ESTIMATED STREET OPENING DATE: I I 3
,�.
ESTIMATED STREET CLOSING DATE: E
STREET
(3) SECURITY NO. SECURITY AMT: S _ 1'C '� Y CLOSED
SURETY CO.: __ FINAL
CERTIFIED CHECK II CAS 1 -1' BOND r INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS/CONDITIONS:
FEATURES, EXCAVATION LOCATION AND EXTENT. 1. Nutity II'mImCtoC Letha Thutnat3 )III
w ?]Ld. _ e City
I I I I 2. All work sha l..l conform to City
URr3 notif.icatiun, etc. 31 es. II
- - 4. Traffic control Inuat be prov i coed
1 S.W. KNOL L DIRI V6 .- fir13Y canCraLT017.
5, dree i em
- - - --XX - - - _ `� _ _ for by untractu_ _
10� _ - 6 The roa i-ay shall nut to closed to '
1 II I wor., area 6/ ' Ij N --t
I -
1 r l
i I I SITE: 1�1 S.W. I '�.-�-; � e€ae�+-{4s> la rS eiped
1 I I I at the eiml of each day.
Knoll Drive =ol tions of MLP92-<X 1 appy.
(5) NOTE THE CITY OF TIGARD DOES NOT, HERiEBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT-OF-WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY A'du
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS
APPLICANTS SIGNATURE —_ 'T 1I��c' DATE I f
f